小狗阅读会员会员
医学顶刊SCI精读工具

扫码登录小狗阅读

阅读SCI医学文献
Document
订阅泛读方向 订阅泛读期刊
  • 我的关注
  • 我的关注
  • {{item.title}}

    按需关注领域/方向,精准获取前沿热点

  • {{item.title}}

    {{item.follow}}人关注

  • {{item.subscribe_count}}人订阅

    IF:{{item.impact_factor}}

    {{item.title}}

Computer-Based Substance Use Reporting and Acceptance of HIV Testing Among Emergency Department Patients.

基于计算机的物质使用报告和接受急诊科患者的HIV检测。

  • 影响因子:3.10
  • DOI:10.1007/s10461-019-02517-5
  • 作者列表:"Aronson ID","Cleland CM","Rajan S","Marsch LA","Bania TC
  • 发表时间:2020-02-01
Abstract

:More than 10 years after the Centers for Disease Control and Prevention recommended routine HIV testing for patients in emergency departments (ED) and other clinical settings, as many as three out of four patients may not be offered testing, and those who are offered testing frequently decline. The current study examines how participant characteristics, including demographics and reported substance use, influence the efficacy of a video-based intervention designed to increase HIV testing among ED patients who initially declined tests offered by hospital staff. Data from three separate trials in a high volume New York City ED were merged to determine whether patients (N = 560) were more likely to test post-intervention if: (1) they resembled people who appeared onscreen in terms of gender or race; or (2) they reported problem substance use. Chi Square and logistic regression analyses indicated demographic concordance did not significantly increase likelihood of accepting an HIV test. However, participants who reported problem substance use (n = 231) were significantly more likely to test for HIV in comparison to participants who reported either no problem substance use (n = 190) or no substance use at all (n = 125) (x2 = 6.830, p < 0.05). Specifically, 36.4% of patients who reported problem substance use tested for HIV post-intervention compared to 30.5% of patients who did not report problem substance use and 28.8% of participants who did not report substance use at all. This may be an important finding because substance use, including heavy alcohol or cannabis use, can lead to behaviors that increase HIV risk, such as sex with multiple partners or decreased condom use.

摘要

: 在疾病控制和预防中心建议对急诊科 (ED) 和其他临床环境中的患者进行常规HIV检测 10 多年后,多达四分之三的患者可能没有接受检测,而那些接受检测的患者经常下降。目前的研究考察了参与者的特征,包括人口统计学和报告的物质使用,影响基于视频的干预措施的疗效,旨在增加最初拒绝医院工作人员提供检测的ED患者的HIV检测。来自纽约一项高容量ED的三个独立试验的数据被合并,以确定患者 (n = 560) 是否更有可能测试干预后: (1) 他们在性别或种族方面与出现在屏幕上的人相似; 或者 (2) 他们报告了问题物质使用。卡方检验和logistic回归分析表明,人口统计学一致性并没有显著增加接受HIV检测的可能性。然而,与报告没有问题物质使用的参与者 (n = 231) 相比,报告有问题物质使用的参与者 (n = 190) 更容易检测HIV或完全不使用物质 (n = 125) (x2 = 6.830,p <0.05)。具体来说,36.4% 的患者报告有问题物质使用,干预后进行HIV检测,相比之下,30.5% 的患者没有报告有问题物质使用,28.8% 的参与者根本没有报告物质使用。这可能是一个重要的发现,因为物质使用,包括重度酒精或大麻使用,会导致增加HIV风险的行为,如与多个伴侣发生性行为或减少安全套使用。

阅读人数:4人
下载该文献
小狗阅读

帮助医生、学生、科研工作者解决SCI文献找不到、看不懂、阅读效率低的问题。提供领域精准的SCI文献,通过多角度解析提高文献阅读效率,从而使用户获得有价值研究思路。

相关文献
影响因子:3.10
发表时间:2020-02-01
来源期刊:AIDS and behavior
DOI:10.1007/s10461-019-02517-5
作者列表:["Aronson ID","Cleland CM","Rajan S","Marsch LA","Bania TC"]

METHODS::More than 10 years after the Centers for Disease Control and Prevention recommended routine HIV testing for patients in emergency departments (ED) and other clinical settings, as many as three out of four patients may not be offered testing, and those who are offered testing frequently decline. The current study examines how participant characteristics, including demographics and reported substance use, influence the efficacy of a video-based intervention designed to increase HIV testing among ED patients who initially declined tests offered by hospital staff. Data from three separate trials in a high volume New York City ED were merged to determine whether patients (N = 560) were more likely to test post-intervention if: (1) they resembled people who appeared onscreen in terms of gender or race; or (2) they reported problem substance use. Chi Square and logistic regression analyses indicated demographic concordance did not significantly increase likelihood of accepting an HIV test. However, participants who reported problem substance use (n = 231) were significantly more likely to test for HIV in comparison to participants who reported either no problem substance use (n = 190) or no substance use at all (n = 125) (x2 = 6.830, p < 0.05). Specifically, 36.4% of patients who reported problem substance use tested for HIV post-intervention compared to 30.5% of patients who did not report problem substance use and 28.8% of participants who did not report substance use at all. This may be an important finding because substance use, including heavy alcohol or cannabis use, can lead to behaviors that increase HIV risk, such as sex with multiple partners or decreased condom use.

翻译标题与摘要 下载文献
影响因子:3.10
发表时间:2020-02-01
来源期刊:AIDS and behavior
DOI:10.1007/s10461-019-02516-6
作者列表:["Janssen R","Engel N","Esmail A","Oelofse S","Krumeich A","Dheda K","Pai NP"]

METHODS::HIV self-testing has the potential to improve test access and uptake, but concerns remain regarding counselling and support during and after HIV self-testing. We investigated an oral HIV self-testing strategy together with a mobile phone/tablet application to see if and how it provided counselling and support, and how it might impact test access. This ethnographic study was nested within an ongoing observational cohort study in Cape Town, South Africa. Qualitative data was collected from study participants and study staff using 33 semi-structured interviews, one focus group discussion, and observation notes. The app provided information and guidance while also addressing privacy concerns. The flexibility and support provided by the strategy gave participants more control in choosing whom they included during testing. Accessibility concerns included smartphone access and usability issues for older and rural users. The adaptable access and support of this strategy could aid in expanding test access in South Africa.

翻译标题与摘要 下载文献
影响因子:0.85
发表时间:2020-01-02
来源期刊:Laboratory medicine
DOI:10.1093/labmed/lmz021
作者列表:["Gannett MS","Gammon RR"]

METHODS:BACKGROUND:Several Kell-system antibodies are known to cause direct agglutination. Also, some specificities, such as anti-Ku, have been reported to react only via the indirect antiglobulin test (IAT). METHODS:Herein, we describe the case of a 61-year-old alloimmunized white woman who presented to an outside hospital with a gastrointestinal (GI) bleed and a "possible anti-Ku" was reported with 3+ reactivity at PEG-IAT and at Ficin-IAT; in addition to an unidentified cold antibody. Subsequently, when the patient presented to a second outside hospital, an anti-Ku that caused 3+ to 4+ reactions at saline-immediate spin (IS) was identified. The reactivity was evaluated with 0.01-M dithiothreitol (DTT) treatment of the plasma. RESULTS:It was determined that the strong agglutination with saline-IS was caused by immunoglobulin (Ig)M anti-Ku. CONCLUSION:To our knowledge, this is the first reported case of an IgM anti-Ku.

关键词: 暂无
翻译标题与摘要 下载文献
免疫学检查方向

免疫学检查是指参与诊断的免疫技术。

复制标题
发送后即可在该邮箱或我的下载查看该文献
发送
该文献默认存储到我的下载

科研福利

临床科研之家订阅号

报名咨询

建议反馈
问题标题:
联系方式:
电子邮件:
您的需求: